Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name: A Bird Sleeps At Midnight Organisation Carlisle College
N.A
Production Address: Producer Gabriel Hyde
Email: ecrosby.writer@yahoo.co.uk
Mobile:
Start date 17/5/17 End date 17/5/17
Distribution Carlisle College
Gabriel Hyde

Outline of risk assessment An audio recording session for dialogue for my FMP

Team members / experts / Gabriel Hyde, Sally Baker, Aidan Sayer

contractors / contributors
etc.
House in rural Cumbria
Locations

Assessor Name Gabriel Hyde (Producer) Date completed 17/5/17

Signature
Authoriser Name Date authorised
(if not Assessor) Signature

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards Tic Physical / chemical hazards Tic Health hazards Tick
k k
Assault by person Contact with cold liquid / vapour Disease causative agent
Attack by animal / Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour / Allergic reaction /
Cold environment Contact with hot surface Lack of food / water
Crush by load Electric shock Lack of oxygen
Drowning Explosive blast Physical fatigue
Entanglement in moving Explosive release of stored pressure
machinery Repetitive action
High atmospheric pressure Fire / Static body posture
Hot environment Hazardous substance Stress / anxiety /
Manual handling Ionizing radiation Venom poisoning
Object falling, moving or flying Laser light

Obstruction / exposed feature Lightning strike Environmental hazards

Sharp object / material / Noise Litter
Shot by firearm Non-ionizing radiation Nuisance noise / vibration
Slippery surface Stroboscopic light Physical damage
Trap in moving machinery Vibration Waste substance released into air
Trip hazard / Waste substance released into soil /
water
Vehicle impact / collision Managerial / organisational
hazards
Falls from height Management factors (lack of /
communication, co-operation, co-
ordination and competence)

Risk matrix use this to determine

risk for each hazard i.e. how bad and how Likelihood of Harm
likely
Remote Very unlikely Unlikely Possible Likely
Severity of Harm e.g. <1 in 1000 e.g. 1 in 200 e.g. 1 in 50 e.g. 1 in 10 e.g. >1 in 3
chance chance chance chance chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of Low Medium High High Extremely high
consciousness
Very Severe e.g. death, permanent Low Medium High Extremely Extremely high
disability high
 Risk Assessment Form Part B: Hazards & Control
Measures
Hazards Who exposed Risk Control measures Risk

Attack by animals Cast and Crew Trivial None needed, small non-aggressive dogs and a non-aggressive budgie Trivial
Sharp objects Cast and Crew Trivial None needed, knives kept off set Trivial
Trip hazard Cast and Crew Low Keep wires and bags out of walkways Trivial
Contact with hot liquid Cast and Crew Trivial Be careful with coffee/tea/hot drinks Trivial
Fire Cast and Crew Low Remember fire safety procedure, no smoking indoors Low
Management Factors Cast and Crew Trivial No action needed Trivial
Allergic Reaction Cast and Crew Trivial Small risk of a mild reaction to animals in location, antihistamines on hand Trivial
Stress/Anxiety Cast and Crew Low Regular brakes Trivial

Risk Assessment Form Part C: Emergency Contact information

Address
Emergency Service CUMBRIA (101) ask for Carlisle Carlisle City Centre, Civic Centre, Rickergate
CONSTABULARY City Centre NPT Carlisle IN AN EMERGANCY ALWAYS CALL 999
CA3 8QG
Emergency Service CUMBERLAND 01228 523444 Newtown Rd, Carlisle
INFIRMARY CA2 7HY
Emergency Service FIRE 01228 221689 Eastern Way, Carlisle
SERVICE CA1 3RA